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Indoor Playground Liability Waiver

Sips & Giggles Play Cafe LLC

Parent/Guardian Waiver and Release of Liability

I, the undersigned parent or legal guardian, acknowledge that I am voluntarily allowing my child(ren) to participate in activities at Sips and Giggles Indoor Playground. I understand that while the playground is designed for safety, there are inherent risks associated with physical activity, including but not limited to falls, collisions, and other potential injuries.

Assumption of Risk: I acknowledge and fully understand that participation in the indoor playground activities involves risks of injury, which may be caused by my child’s actions, the actions of others, or the condition of the facility. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury that may occur.

Release of Liability: I hereby release, waive, discharge, and hold harmless Sips and Giggles, its owners, employees, and affiliates from any claims, liabilities, or expenses arising from my child’s participation in the indoor playground. This release includes claims based on negligence, but does not apply to gross negligence or intentional misconduct.

Rules & Regulations: I agree to ensure my child(ren) follow all posted rules and any instructions given by the staff. Failure to comply may result in removal from the playground without a refund.

Medical Authorization: In the event of an emergency, I authorize Sips and Giggles staff to obtain medical treatment for my child. I understand that I am responsible for any medical expenses incurred as a result of injury.

August 22, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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